Salvador Cano Camacho, OT
NPI 1962256610ActiveIndividual· Occupational Therapist· Chubbuck, ID
Occupational Therapist (OT) with Custom Rehab LLC, practicing in Chubbuck, Idaho. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1962256610 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Apr 17, 2024 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-2932 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (ID) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Custom Rehab LLCChubbuck, ID · 5 clinicians
Other occupational therapists in Chubbuck
- 1023430659
- 1174165518
- 1871271460
- 1205612082
- 1932451002
- 1710078175
- 1821161522
- 1063546174